- ImpactScore™
- 100
- Very Positive
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ConsistencyScore™
- unclear
- Not enough independent studies
SGLT2 inhibitors improve kidney and cardiovascular outcomes across albuminuria levels
Última actualización 6 de julio de 2026
Key finding
SGLT2i reduced albuminuria levels by 13%, on average: gMratio 0.87, 95% CI 0.85–0.88, p < 0.001.
This study evaluated the effects of SGLT2 inhibitors on cardiovascular and kidney outcomes across different levels of albuminuria. It found significant reductions in albuminuria and various adverse outcomes compared to placebo.
Quick read
Study at a glance
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Risk of bias
Some Concerns
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Plain-language summary
What this paper says
A plain-language read of the study's main message and where it applies.
Study focus
This study evaluated the effects of SGLT2 inhibitors on cardiovascular and kidney outcomes across different levels of albuminuria. It found significant reductions in albuminuria and various adverse outcomes compared to placebo.
Clinical relevance
These findings highlight the potential of SGLT2 inhibitors in improving kidney and cardiovascular health, especially for patients with varying levels of albuminuria. By reducing key health risks, these medications may enhance the quality of life and longevity for individuals at risk of kidney disease and heart failure.
Keep in mind
The study's design may limit generalizability to broader populations. Effectiveness in specific subgroups was not clearly defined. Long-term effects beyond the study duration were not assessed.
Published in
Referencia de la Revista
Publication details and source links for this paper.
João PF, Pedro M, Stefan DA, et al. Sodium glucose co-transporter 2 inhibitors and cardiovascular and kidney outcomes across albuminuria levels. Diabetes, Obesity & Metabolism. 2025;28(2):1105-1115. doi:10.1111/dom.70289
Efectos Principales
SGLT2 inhibitors reduced albuminuria levels by 13% (gMratio 0.87, p < 0.001).
SGLT2 inhibitors reduced the risk of kidney events across the full UACR spectrum.
SGLT2 inhibitors decreased the risk of heart failure hospitalizations across the full UACR spectrum.
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to SGLT2 inhibitors and Albuminuria, All-cause mortality, Atherothrombotic events, and 3 more.
This study contributes evidence to
Primary intervention
SGLT2 inhibitors
Primary outcomes
- Albuminuria
- All-cause mortality
- Atherothrombotic events
Evidence topics
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
Why this study matters
See why this paper is useful beyond its individual results.
Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
5
Related topics
6
Evidence pairs
352
Related studies
Why it is useful
- Contributes to 6 evidence relationships
- Includes primary outcome data
- Linked to 5 direct semantic evidence topics
Topic contributions
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Evidencia principal
Relación de evidencia
SGLT2 Inhibitors and Cardiovascular Outcomes
Evidencia relacionada
Relación de evidencia
SGLT2 Inhibitors and Kidney Function
Seguir evidencia
Relación de evidencia
SGLT2 Inhibitors and Urinary Tract Infections
Seguir evidencia
Core evidence
Study findings
The primary outcomes reported in this study.
- ImpactScore™
- 75
- Positive
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ConsistencyScore™
- 35
- mixed
Atherothrombotic events
SGLT2 inhibitors → Atherothrombotic events
SGLT2 inhibitors → Atherothrombotic events
- ImpactScore™
- 50
- Neutral
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ConsistencyScore™
- unclear
- Not enough independent studies
Cardiovascular mortality
SGLT2 inhibitors → Cardiovascular mortality
SGLT2 inhibitors → Cardiovascular mortality
- ImpactScore™
- 50
- Neutral
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ConsistencyScore™
- unclear
- Not enough independent studies
Heart failure hospitalizations
SGLT2 inhibitors → Heart failure hospitalizations
SGLT2 inhibitors → Heart failure hospitalizations
- ImpactScore™
- 75
- Positive
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ConsistencyScore™
- 35
- mixed
Renal and urinary disorders incidence
SGLT2 inhibitors → Renal and urinary disorders incidence
SGLT2 inhibitors → Renal and urinary disorders incidence
- ImpactScore™
- 50
- Neutral
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ConsistencyScore™
- unclear
- Not enough independent studies
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Evidence Tracker
12 tracked topics
Saved Studies
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Research Notes
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La Evidencia Sugiere
- SGLT2 inhibitors reduced albuminuria by 13% on average.
- They lowered the risk of kidney events and heart failure hospitalizations.
- Cardiovascular and all-cause mortality risks were also reduced.
A quién se aplica
- Adults with diabetes and varying levels of albuminuria.
- Patients at risk for cardiovascular and kidney diseases.
Tener en Cuenta
- Results may not apply to populations outside the study demographics.
- Further research is needed to confirm long-term benefits.
- The study did not explore the effects of SGLT2 inhibitors in non-diabetic patients.
Entre Líneas
- The study's design may limit generalizability to broader populations.
- Effectiveness in specific subgroups was not clearly defined.
- Long-term effects beyond the study duration were not assessed.
Save this study
Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.
Today's Activity
Your Evidence Workspace
Saved this study
Your free account becomes your personal diabetes evidence workspace.
Evidence Tracker
12 tracked topics
Saved Studies
48 studies
Research Notes
Coming Soon
Weekly Evidence Digest
Coming Soon
Connected Evidence
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on SGLT2 Inhibitors and Cardiovascular Outcomes, SGLT2 Inhibitors and Heart failure hospitalizations.
Relaciones de evidencia relacionadas
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention-outcome relationships.
SGLT2 Inhibitors → Cardiovascular Outcomes
Medications
- ImpactScore™
- 75
- Positive
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ConsistencyScore™
- 35
- mixed
- ImpactScore™
- 75
- Positive
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ConsistencyScore™
- 35
- mixed
Incluido en estas colecciones de evidencia
Curated evidence collections and hubs this study is part of.
Cardiovascular Outcomes Evidence Hub
All studies measuring Cardiovascular Outcomes
Measures Cardiovascular Outcomes as a key outcome.
Heart failure hospitalizations Evidence Hub
All studies measuring Heart failure hospitalizations
Measures Heart failure hospitalizations as a key outcome.
SGLT2 Inhibitors Evidence Hub
All studies on SGLT2 Inhibitors
Contributes to SGLT2 Inhibitors evidence base.
Recent Diabetes Research
Latest published studies
Published within the last 2 years.
Explora más en el archivo de evidencia
Jump to pre-filtered views in the evidence archive.
All studies on SGLT2 inhibitors and All-cause mortality
2 results
All studies on SGLT2 inhibitors and Heart failure hospitalizations
2 results
All studies on SGLT2 inhibitors
2 results
All studies measuring All-cause mortality
2 results
All studies measuring Heart failure hospitalizations
2 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does SGLT2 Inhibitors improve cardiovascular outcomes?
SGLT2 Inhibitors may improve Cardiovascular Outcomes.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
All-cause mortality
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study
- 2
Cardiovascular mortality
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 5 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does SGLT2 Inhibitors improve kidney function?
SGLT2 Inhibitors may improve Kidney Function.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Albuminuria
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 6 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does SGLT2 Inhibitors improve urinary tract infections?
SGLT2 Inhibitors may improve Urinary Tract Infections.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
- 1
Renal and urinary disorders incidence
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
- Population details are unavailable.
Does SGLT2 inhibitors improve heart failure hospitalizations?
SGLT2 inhibitors may improve Heart failure hospitalizations.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
- 1
Heart failure hospitalizations
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
- Only one supporting study is available.
- Population details are unavailable.
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